Dr. Schwartz explains the procedure: "It typically begins with the surgeon making three, sometimes four, incisions in the shoulder. An arthroscope (tiny camera) that helps guide the surgery is inserted in one of the incisions. Another incision is used for a catheter to flush water into the shoulder to move blood away from the tendon so that the surgeon can see the tear. A suture is passed through the remaining incisionss and through the tendon. Once all the stitches are made, using the same incision in the shoulder, the surgeon tightens and knots the suture before securing it onto the shoulder bone with an anchoring device."